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Individual

LARRY ELDRIDGE ERLINDER

Active
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Individual

LARRY ELDRIDGE ERLINDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016-003011
IL
213E00000X
Podiatrist
PO 3501
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60001061
BLUE CROSS/BLUE SHIELD ID
—
Enumeration date
08/11/2006
Last updated
09/24/2012
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